盆底超声对压力性尿失禁患者的诊断及影响因素分析

Diagnosis of pelvic floor ultrasound in patients with stress urinary incontinence and analysis of influencing factors

目的分析盆底超声对压力性尿失禁患者的诊断作用及影响因素,为将来预防工作提供指导。方法回顾性分析我院2018年1月-2020年3月收治的238例尿失禁患者临床资料,所有患者均行盆底超声诊断。统计性别、文化程度、妊娠与分娩、憋尿、糖尿病史、医源性损伤等信息。分析盆底超声诊断情况及发生压力性尿失禁的影响因素。结果238例行盆底超声诊断的患者中检出压力性尿失禁60例,发生率为25.21%。经单因素及多项Logistic回归分析得出,女性、妊娠与分娩、憋尿、医源性损伤均为影响患者发生压力性尿失禁的影响因素(OR>1,P<0.05)。结论盆底超声可有效诊断压力性尿失禁,而女性、妊娠与分娩、憋尿、医源性损伤是发生压力性尿失禁的危险因素,临床可据此进行合理干预以降低疾病发生率,改善患者预后。

Objective To analyze the diagnostic function and influencing factors of pelvic floor ultrasound in patients with stress urinary incontinence,and to provide guidance for prevention work in the future.Methods The clinical data of 238 patients with urinary incontinence treated in our hospital from January 2018 to March 2020 were retrospectively analyzed.All patients underwent pelvic ultrasound diagnosis.Counted the gender,education level,pregnancy and childbirth,holding urine,history of diabetes,iatrogenic injury and other information,analyzed pelvic floor ultrasound diagnosis and influencing factors of stress urinary incontinence.Results Among the 238 patients diagnosed by pelvic floor ultrasound,60 cases were stress urinary incontinence by detection,the incidence was 25.21%.According to single factor and multiple logistic regression analysis,female,pregnancy and childbirth,holding urine,and iatrogenic injury were all influencing factors of stress urinary incontinence(OR>1,P<0.05).Conclusion Pelvic floor ultrasound can effectively diagnose stress urinary incontinence,and women,pregnancy and childbirth,holding urine,and iatrogenic injury are risk factors for stress urinary incontinence.Based on this,reasonable clinical interventions can be made to reduce the incidence of diseases and improve the prognosis of patients.